[Hiring] Reimbursement Coordinator @BioScript Solutions

Role Description

The Reimbursement Coordinator is responsible for managing patient cases with a focus on securing and maintaining prescription drug coverage. This role involves close coordination with patients, healthcare providers, insurance companies, and funding programs to ensure efficient reimbursement processes and patient experience. The position requires a strong understanding of reimbursement systems, excellent case management skills, and the ability to handle high volumes of documentation and communication with professionalism and accuracy.

How you will make an impact:

Reimbursement Responsibilities:

• Coordinate and manage all aspects of prescription drug coverage and reimbursement for assigned patient cases.
• Oversee the initiation, tracking, and maintenance of reimbursement related activities while ensuring compliance with organizational policies and regulations.
• Liaise effectively with insurance companies, physician offices, pharmacies, and other healthcare professionals to optimize reimbursement outcomes.
• Collect, review, and submit all necessary documentation to private insurers, public/federal funding programs, and specialty pharmacy services.
• Maintain up-to-date knowledge of insurance plans, public and private funding sources, and reimbursement policies.
• Review and validate patient and healthcare provider information to ensure completeness and eligibility.
• Provide responsive inbound and outbound telephone support, addressing inquiries and resolving reimbursement issues in a timely manner.
• Accurately document all case-related activities, including communication, coverage decisions, and outcomes.
• Offer constructive feedback to enhance service delivery and patient satisfaction.
• Participate in training and development programs to stay informed about changes in reimbursement, drug programs, and healthcare systems.
• Maintain strict confidentiality and discretion in all interactions and documentation.

Administration Responsibilities:

• Perform administrative tasks including data entry, record maintenance, document scanning/faxing, and filing.
• Monitor and triage all inbound patient and healthcare provider emails, faxes, and other communication channels, ensuring they are directed to the appropriate program staff for timely response.
• Assist in managing patient case files, ensuring all relevant documentation is complete, accurate, and updated in the program's CRM.
• Responsible to report any patient safety information as per adverse event reporting requirements and product quality complaints reporting requirements.

Qualifications

• Post-secondary education in a related field is required.
• Minimum 1 year of experience in client services within a healthcare, pharmaceutical, or insurance environment.
• Prior experience in a reimbursement-focused role is a strong asset.
• Experience handling high call volumes in a customer service or call center setting is preferred.

Requirements

• Bilingualism (French and English) is an asset.
• Knowledge of public, private, and federal drug coverage systems is an asset.
• Strong organizational skills and a high level of attention to detail.
• Excellent problem-solving abilities and the capacity to work independently in a fast-paced environment.
• Proficiency with Microsoft Office and comfort using digital systems and databases.
• Effective communication and interpersonal skills, with a positive and professional demeanor.
• English proficiency is required for this position to effectively communicate with internal and external stakeholders.

Benefits

• Competitive salary, incentive program, and comprehensive benefits package.
• Committed to fostering a culture of growth, where every team member is encouraged to pursue new skills, expand their knowledge, and advance their careers.
• Over 1,500 team members across Canada with an overall above industry engagement score.